WELCOME TO NEW MEXICO Your hosts: Cindy Vigil RDH BS, President NM Dental Hygienists Association Rudy Blea, Program Director, NM Office of Oral Health New Mexico has 219,512 Indian citizens, which represent nearly 10.5% of the state's entire population. There are 23 Indian tribes located in New Mexico - nineteen Pueblos, three Apache tribes (the Fort Sill Apache Tribe, the Jicarilla Apache Nation and the Mescalero Apache Tribe), and the Navajo Nation, and a considerable urban Indian population which is also served by the Indian Affairs Department. The nineteen Pueblos are comprised of the Pueblos of Acoma, Cochiti, Isleta, Jemez, Laguna, Nambe, Ohkay Owingeh, Picuris, Pojoaque, Sandia, San Felipe, San Ildefonso, Santa Ana, Santa Clara, Santo Domingo, Taos, Tesuque, Zuni and Zia. Each Tribe is a sovereign nation with its own government, life-ways, traditions, and culture; and each tribe has a unique relationship with the federal and state governments. https://www.youtube.com/watch?v=avhlb2di6zi 1
The twenty-three tribes in New Mexico are actively engaged un promoting quality education and health care for all members, especially their youth and elders. Economic development as a means to achieve these goals is important to Tribal leadership as is homeland security and housing for their communities. Native Americans are served by Indian Health Services providers (medical/dental). 638 Self Governance Medicaid State Children s Insurance Program SIPI: education, dental sealants, and fluoride varnish throughout 8 northern pueblos SPIS: dental health services In 1598 the first Spanish settlement in the territory 1610 Santa Fe was founded and made the capital of New Mexico The U.S. acquired most of New Mexico in 1848, as a result of the Mexican War, and the remainder in the 1853 Gadsden Purchase The area was governed as New Mexico Territory until 1912, when it was admitted as a state 2
New Mexico: 5 th largest state in the country urban, rural/frontier Population over 2 million people NM economy is dependent on mining, tourism, national laboratories, military basis, federal government, and local governments Healthcare and social assistance sectors were the leading employers contributing generating the highest total annual payroll 3 metropolitan communities: Albuquerque, Las Cruces, and Santa Fe NM is currently recovering from the 2013 economic turndown 2016 personal income per capita was $45,382 compared to the national average $55,775 Unemployment rate 2015 6.6% https://www.youtube.com/watch?v=micvg0kdtjk 3
5/3/17 New Mexico Oral Health Care Indian Health Service 608 (c) Private Dentist NM Medicaid adult and pregnant women care Corporate Dentistry 38 Federal Qualified Health Centers Community Clinics NM Department of Health University of New Mexico Dental Services Office of Oral Health Special Needs Dentistry Clinic Office of Rural Health and Primary Care AIDS Dental Services Office of School and Adolescent Health University of New Dental Hygiene Program Dona Ana Community College Dental Hygiene Program San Juan Community College Dental Hygiene Program PIMA Medical Institute Dental Hygiene Program Dental Statistics Overseer: NM Dental Health Care Board and Dental Hygienist Committee Licensed dentists 1,458 Licensed dental hygienists 1,290 47 Collaborative Dental Hygienists Dental assistants 2,706 Community Dental Health Coordinator 3 Expanded Function Dental Auxiliary 9 Non-Dentist Owners 27 Education Institutions No Dental School 2 Dental Assistant Programs 4 Dental Hygiene Programs Advanced Education General Dentistry UNM Dental Residency WICHE Loan Repayment Program 4
5/3/17 Office of Oral Health OOH Mission: To ensure that all New Mexicans are provided opportunities to improve their oral health and overall health through access to prevention and treatment services and health education. NM DOH Strategic Plan (FY2017-2019) Improved health status for New Mexicans. Oral Health Indicator Percent of adults who have visited a dentist in the past year. A Healthier New Mexico New Mexico State Health Improvement Plan Measurable Objectives Increase number of dental providers serving the uninsured and low income populations Increase number of Medicaid providers Promote the importance of oral health Provide preventive services to pre-school and school aged children Increase consumption of fluoridated water 5
Advocacy Organizations in New Mexico The NM Dental Association Mission of Mercy (5) NM Dental Association Foundation 7-year plan they call Oral Health Focus 2020 o It identifies priorities related to prevention, economics, education & workforce with more specific goals in each area. o Prevention for instance, focuses on implementing state incentives for community water fluoridation, requiring a dental exam prior to enrolling in pubic schools in order to encourage establishment of a dental home. o Economics involves Medicaid reform, a dental benefits patient "bill of rights" to limit insurance & other benefit practices that impede care rather than facilitate it, and elimination of gross receipts tax on dental services. o Education goals involve incremental progress toward an in-state dental school. o Workforce goals involve implementation & expansion of Community Dental Health Coordinators, expand opportunities for student & start-up loan repayment through community funding & tax incentives in underserved areas, and explore the use of other expanded function dental team members in piloted settings. Mission Statement To represent dental hygienists in continuing to improve the oral health of our community by being innovative in increasing access to quality oral healthcare. Vision Statement To elevate the dental hygiene profession by promoting education, expanding the opportunities for practice, and enhancing access to quality oral healthcare. Collaborative Practice Limited Prescriptive Authority Assessment for sealant and fluoride application varnish without a dental exam and without supervision Midlevel provider (ongoing legislative process dental therapist) Medicaid provider status and local anesthesia General Supervision Self-Regulation Licensure by credentials All of the achievements improve the oral health care of our community be expanding the opportunities to practice and enhance access to quality oral health care. 6
NM Oral Health Coalition The New Mexico Oral Health Coalition is an alliance of partners who believe oral health is an essential part of overall health care Coalition comprised of 35 NM organizations. https://www.facebook.com/new-mexico-oral-health-coalition- NMOHC-1862014534047204/ Health Action New Mexico All people in New Mexico will have the opportunity to lead a healthy life in a healthy environment with full and equal access to quality, affordable, and culturally respectful health care To bring together organizations &consumers to influence policy that affects the health of all people living in NM; to develop policy solutions to improve access to health care; to promote leadership & a consumer voice on health issues; & to share tools & resources for advocacy 7
Other New Mexico Characteristics: At many New Mexico restaurants water is not served unless asked for When ordering New Mexico cuisine you maybe be asked: Red or Green - chile that is on your food Or Christmas (both red and green chile on your food) Sites to see: Albuquerque Old Town, ABQ Balloon Museum Historic Santa Fe (take the RR Rail Runner) Have a great visit! 8